Individual
LAUREN SUMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25615 104TH AVE SE, KENT, WA 98030-7609
(253) 872-2030
(253) 872-2550
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT70063671
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
01/13/2026
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